A Case of Giant Molluscum Contagiosum in a HIV Patient

A Case of Giant Molluscum Contagiosum in a HIV Patient

( This paper was presented at 19th Asian Homeopathic Medical League - AHML Congress at New Delhi, India 13 -14 Nov 2010 )



Dr. Pawan S. Chandak is a clinician and social worker , dedicated for the propagation of Homoeopathic Community . He is graduated from Maharashtra University of Health Sciences Nashik. He had authoured a book 'Gems of Modern Homoeopathy' and he swears as National Secretary of Indian Homoeopathic Medical Association. His articles had been published in many Journals and he is a managing editions of an educational website www.modernhomoeopathy.com
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A five years old female girl presented cystic swelling and fungating growth in and around the right upper eye lid. The right eye was closed and covered with the growth. The left eye, naso labial fold and corners of the mouth also presented few papules.

The lesions were infected, painful, itching, discharge was seropurulent. Sticking pain in affected area by Molluscum. Pain in eyes. Vision affected. Few lesions were matted together and discharge was highly offensive and excoriating. The regional lymph nodes upper cervical area was swollen. Child is greatly debilitated as she is unable to eat food on account of pain. She is unable to rise from sitting position due to weakness. Complaints < night.
The child had itching all over the body. Generalised Pruritis.
When she stands she starts trembling.
She is trembling and shivery, sensitive and emotional

Past History
She had recurrent cold and Cough.
The Childs parents are HIV patients. The child also has shown positive study for serological Examination. Suspected mode of transmission: materno-foetal.
She had been treated for pulmonary Tuberculosis under modern medicine for six months .Refer Plate I

Family History
• Her parents passed away following HIV and she is under the Care centre for HIV patients.
The child also has shown positive study for Serological examination.
Refer Plate II and Plate III



Life Space:
Her Father was diagnosed seropositive just 3 month before his death. After the death of his father Tridot investigation of her mother was performed in which her mother shown Reactive for HIV I Infection.
Then only Tridot of Mayuri was done which shows she is reactive for HIV I Infection.
As per papers / sources available & history given by her grandfather & President of this Child care centre that no ART t/t was given to her till today or to her mother during ANC period as no investigations like ELISA or HIV test was done during pregnancy.
As patient’s parent died of HIV related illness she has been shifted in Care Centre for HIV AIDS patient.
She was diagnosed as Seropositive on 16/04/2007.
She was diagnosed as having Pulmonary Tuberculosis on 12/11/2008 & started AKT.

Physical Generals
Appetite: Loss
Thirst: Less
Sweat: on forehead.
Stool: Regular 2 times watery
Urine: Burning micturition.
Thermal:: Chilly
Sleep: Disturbed due to pain.
Discharge: Seroprulent & offensive.



Mental Generals

Mild, Yielding, frightened easily.
She has no interest to work or perform her regular activity due to pain & suffering.


General Examination:


Weight: 09 kgs
Pulse: 100/min
CVS : NAD
Abdomen: distended.
Chest: looks emaciated. With emaciation of lower limbs also.
Decreased CD4 Count: 154
Decreased CD4/CD8 ratio: 0.21
Viral load (Before Treatment): 357294 copy/ml

Diagnosis: ‘Giant molluscum contagiosum’ diagnosed by Dermatologist & Ophthalmologist of AIDS Department of J J Hospital Mumbai.



What Modern Medicine Says ?

• This case was examined clinically by AIDS Department of one of the famous Allopathic Hospital, Mumbai Prognosis given by them “as per WHO Clinical staging she is in last stage IV condition & so no any active treatment was given.”

• Giant molluscum are resistant to all therapy like cryosurgery, Co2 laser, TCA.

• Allopathic Treatment having limited scope as no medicines or Surgery was not going to help her.


Totality of Symptoms
• Molluscum Contagiosum.
• Cauliflower like growth in and around the right upper eye lid.
• The lesions were infected, painful, itching, discharging blood sticky secretion.
• The Discharge was highly offensive and excoriating.
• Complaints & pain < night. Night aggravations.
• Chilly Patient.
• Cervical lymph node swollen.
• Loss of appetite.
• Thirst Less.
• Frightens easily.
• No weakness in anything.
• Weakness and debilitated.
• Trembling and shivering



First Prescription: 18/05/2009



Rx
• Nitric acid 200 3 pill bds



Follow Up 1 24/05/2009


• Appetite good.
• The lesions started discharging around both eyes.
• Left eyes slightly opened.
• Eruption started breaking up & oozing.
• Improvement in general.


Rx

• Nitric acid 200 3 pill bds
Follow Up 2 08/06/2009


• Infected molluscum on face are bursting and decreasing in size.
• Eruption is drying up.
• Swelling around both eyes comparatively decreased.
• Now right eye slightly opened & Left eyes fully opened.

Rx

• Nitric acid 200 3 pill bds on empty stomach
• Placebo for 15 days

Follow Up 3

• Molluscum below & around eyes decreased.
• No Swelling. NO Pain in eyes. No Discharge.
• Appetite: improved. Both Eyes are opened now.
• Patient can see properly from both eyes.
• Swelling of cervical lymph node decreased.
Rx

• Nitric acid 200 3 pill tds on empty stomach
• Placebo for 15 days

CD4 Count: 259 dated 22/07/2009


The patient is on treatment for further HIV studies


Recent CD4 Count dated 16/02/2010 is 525

Discussion

The drug selected on totality and prescribed on sycotic, syphilitic plethora has benefited the patient. Since the out warded manifestations re better the deep seated miasmatic tendency expressed as AIDS also expected to give positive serological study. The treatment is on with ray of hopes…


Dr. Pawan S. Chandak BHMS
'Shradha' Vishnu Nagar,
Basmat Road, Parbhani 431401
Maharashtra, India
Email: pavanchandak498@gmail.com
website: www.modernhomoeopathy.com
Tel: +91-2452-222261
cell: +91-9422924861
Fax: +91-2452-222261